Organization
ADKOA PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADWOA ADDAI (OWNER)
(513) 375-8341
Entity
Organization
Contact information
Practice address
8261 SHOPPERS SQ, MANASSAS, VA 20111-2176
(703) 479-7642
Mailing address
6159 TREYWOOD LN, MANASSAS, VA 20112-5905
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0201004744
VA
Other
Enumeration date
07/29/2016
Last updated
01/20/2017
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